scholarly journals Public-Private Partnership in Health Care and Its Impact on Health Outcomes: Evidence from Ruharo Mission Hospital in Uganda

2018 ◽  
Vol 6 (12) ◽  
pp. 79
Author(s):  
Justus Asasira ◽  
Frank Ahimbisibwe
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Outcomes ◽  
Public Private Partnership ◽  
Private Partnership ◽  
The Public ◽  
Public Facilities ◽  
Mission Hospital ◽  
Private Providers ◽  
The Impact

Background: Uganda’s government has embraced private provision of social services including health care. The involvement of private providers is an indicator that the public facilities are not sufficient enough to meet the high demands of the ever-increasing population. This has been done through partnership arrangements. This paper discusses the impact of Public-Private Partnership (PPP) in health care outcomes of the local population and opportunities for improving health outcomes, challenges facing private providers in a low income setting.Methodology: Data were collected using qualitative methods in January 2017 through interview (using semi-structured questions) at Ruharo Mission Hospital (RMH) administration, health workers, district health office and used a structured questionnaire for patients/clients. This was a nascent study, with a sample size of 22 respondents. The hospital has three departments; Organized Useful Rehabilitation Services (OURS), General Medical Services (GMS) and Eye Department (ED). All the departments of the hospital were represented in this study.Results: The hospital is a Church of Uganda project and runs a budget of 5 billion shillings ($ 1,351,351.4) annually, had multiple sources of funding including PHC funding annually and that, health services were delivered adequately to clients. Much as some services were accessed at no costs, other services like eye treatment were found expensive on the side of clients. The hospital’s hybrid mode of delivering health services through outreaches and facility-based services was cherished, however it had no ambulance and relied only on a hospital van.Conclusions and Recommendations: Our study concluded that if private providers are supported under the partnership arrangement, they can adequately deliver services to the clients and decongest the public facilities. We recommend that the government devote funds to support the hospital through employing more sub-seconded staff, procuring medicines, and ambulances to enable it to subsidize services especially eye treatment and other services not supported under the partnership.

scholarly journals Sustainable and Optimal “Uniqueness” Contract in Public-Private Partnership Projects of Transportation Infrastructure

2020 ◽  
Vol 2020 ◽  
pp. 1-14
Author(s):  
Yingjun Zhu ◽  
Zhitong Gao ◽  
Ruihai Li
Keyword(s):  
Social Welfare ◽  
Public Private Partnership ◽  
Transportation Infrastructure ◽  
Private Capital ◽  
Equilibrium Relation ◽  
Private Partnership ◽  
The Public ◽  
Welfare Losses ◽  
The Government ◽  
The Impact

To control the “uniqueness” risk in Public-Private Partnership (PPP) projects of transportation infrastructure, we design a simplified “uniqueness” contract model by incorporating the impact of the initial investment which is based on the Bertrand model. The nonlinear programming method is adopted to derive the optimal “uniqueness” contracts for incumbent private capital, the public, and the social welfare, respectively. The simulation results show that the achievement of the optimal “uniqueness” contract is essentially the result of a compromise between the private capital, the public, and social welfare. The extent to which such a contract reduces the probability of “uniqueness” risk mainly depends on the equilibrium relation between the interests of private capital and the public. The initial investment is not related to the government default when the contract does not take into account the interests of the private capital. Furthermore, the “uniqueness” contracts between private capital and the government are mainly for anticompetitive purpose in the PPP market of transportation infrastructure. Unless the contract terms focus on the improvement of social welfare, entering a “uniqueness” contract will cause social welfare losses.

scholarly journals Analysis of Public-Private Partnership in Providing Primary Health Care Policy: An Experience From Iran

2019 ◽  
Vol 10 ◽  
pp. 215013271988150 ◽  
Author(s):  
Hojatolah Gharaee ◽  
Jafar Sadegh Tabrizi ◽  
Saber Azami-Aghdash ◽  
Mostafa Farahbakhsh ◽  
Majid Karamouz ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Policy ◽  
Health Indicators ◽  
Study Data ◽  
Public Private Partnership ◽  
Private Partnership ◽  
The Public ◽  
Primary Health ◽  
East Azerbaijan

Background: This study aims to analyze the public-private partnership (PPP) policy in primary health care (PHC), focusing on the experience of the East Azerbaijan Province (EAP) of Iran. Methods: This research is a qualitative study. Data were gathered using interviews with stakeholders and document analysis and analyzed through content analysis. Results: Participants considered political and economic support as the most important underlying factors. Improving system efficiency was the main goal of this policy. Most stakeholders were supporters of the plan, and there was no major opponent. Implementing the health evolution plan (HEP) was an opportunity to design this policy. Participants considered the lack of provision of infrastructure as the main weakness, changing the role of the public sector as the main strength, and promoting social justice as the main achievement of policy. The results of the quantitative data review showed that following the implementation of this policy, health indicators have been improved. Conclusions: Based on the results of this study, the PPP model in EAP is a new and successful experience in PHC in Iran. Supporting and developing this policy may improve the quality and quantity of providing care.

Evolution of the mechanism of regulation owing to development road economy on the basis of innovative principles public-private partnership

2020 ◽  
pp. 44-53
Author(s):  
Vdovenko ◽  
Korobova ◽  
Pavlenko
Keyword(s):  
National Economy ◽  
Public Private Partnership ◽  
The State ◽  
Theory And Practice ◽  
Investment Activity ◽  
Private Partnership ◽  
The Public ◽  
The Road ◽  
Road Development ◽  
The Impact

Subject of research – relations in the process of improving the mechanism of regulation of road development in Ukraine and putting into practice proposals to ensure innovative approaches and modernization of the road system on the basis of public-private partnership are formed. The purpose of the article. The scien- tific and methodological and practical proposals with the purpose of applying the mechanism of regulation of the road economy development as a promising of the national economy have been developed. The methodology of the work. The theoretical and methodological basis of the research is the system of both general scientific and special methods of scientific cognition, fundamental provisions of modern economic theory and practice. In scientific research such methods as mono- graphic in formulating approaches that the development of the road economy de- pends not only on the level of economic development, but also on the influence of regulatory mechanisms that are applied, economic and statistical – in determining and calculating the concession payment for the right to management are used. The results of the work – the scientific results of the improved basis of development of the national economy through the creation of an effective mechanism for the implementation of new rules and tasks in the system of regulation in the field of road economy are proposed for application. Conclusions. We propose modern mea- sures and tools for shaping the innovative environment, and we propose to intro- duce such rules that would meet the interests of the authorities, increase the level of protection of interests of private investors and the state in the implemen- tation of public-private partnership projects. The advantages in developing mech- anisms for guaranteeing public-private partnership project financing by the state partner during the whole project implementation period are substantiated; mecha- nism of fair compensation in case of early termination of the public-private part- nership contract at the initiative of the state partner in order to compensate for the reasonable losses of the private partner. The scientific-methodological and practical proposals for the purpose of application of the mechanism of regulation of the road development are revealed. It is proved that due to the impact of mod- ernization transformations, the public-private partnership can play a dual role as an institutional innovation and has every reason to combine both the modernization of investment activity and the modernization of the regulatory mechanism for the purpose of evolutionary transformations in the leading spheres of the national economy.

scholarly journals Public-private Partnerships for Medicine Provision: an alternative to the combat to the covid-19 pandemic

2020 ◽  
Vol 71 ◽  
pp. 91-110
Author(s):  
Jean Marcel Del Ponte Duarte ◽  
Rodrigo Nobre Fernandez ◽  
Rodrigo Vaz Silva
Keyword(s):  
Health Services ◽  
Research And Development ◽  
Public Private Partnership ◽  
Health Centers ◽  
Public Private Partnerships ◽  
Policy Makers ◽  
Private Partnership ◽  
The Public ◽  
Private Investments ◽  
Feasible Alternative

This work aims to verify how the Public-private Partnership contracts can be used as a tool for the policy makers to provide infrastructure in health services, specially seeking to fight the coronavirus pandemic, like the construction of hospitals and health centers, plus research and development of vaccines and medicine. An analysis of PPP cases already currently working in Brazil was conducted, based on the empiric literature. The PPPs arise as a feasible alternative of investments in this sector, particularly in a fragile moment of public accounts, in addition to the need of healthcare improvements throughout the country. Besides being more efficient, this kind of contract also attenuate the pressure on the public accounts since it is financed by private investments.

scholarly journals The Abolition of User Fees in the Jamaican Public Health System: Impact on Access, Care Provided and the Work of the Professional Nurse

2021 ◽  
Author(s):  
◽  
Adella Campbell
Keyword(s):  
Public Health ◽  
Health Care ◽  
Developing Countries ◽  
Health Services ◽  
Health System ◽  
Public Health System ◽  
User Fees ◽  
Professional Nurse ◽  
The Public ◽  
The Impact

<p>The negative impact of user fees on the utilisation of the health services by the poor in developing countries such as Uganda and Jamaica is well documented. Therefore, various governments have been engaged in reforming public health systems to increase access by underserved populations. One such reform is the introduction of free health services. In Jamaica, user fees were abolished in the public health sector in 2007 for children under 18 years and in 2008 free health care was introduced for all users of the public health system. This study evaluated the impact of the 2008 reform on the Jamaican public health system at 1) the national level, 2) the provider level, and 3) the user level. Perspectives were sought on access to care, the care provided, and the work of the professional nurse. Participants were selected from the Ministry of Health (MOH), the four Regional Health Authorities (RHAs), and urban and rural health facilities. Data collection was done during March – August 2010, using a multi-layered mixed methods evaluation approach, incorporating both qualitative and quantitative methods. Methods included individual interviews with key policymakers (eight) at the MOH and the four RHAs, as well as a senior medical officer of health (one) and pharmacists (three); focus groups with representatives of the main practitioners in the health system including nurses (six groups), pharmacists (one group) and doctors (two groups); document reviews of the MOH and RHAs‘ annual reports, and a survey of patients (200). Views on the impact of the abolition of user charges differed across the three levels and among the health authorities, facilities, and perspectives (policymakers, practitioners and users). Patient utilisation of the public health system increased exponentially immediately following the abolition of user fees, then declined, but remained above the pre-policy level. The work of health care providers, especially the professional nurse, was affected in that they had to provide the expected and required services to the patients despite an increase in workload and constraints such as inadequate resources. The research found that, while policymakers were optimistic about the policy, providers had concerns but patients were satisfied with the increased access and the quality care they were now receiving. Users also encountered challenges that constituted barriers to access. In addition to providing further evidence about the abolition of user fees in the public health system, this research provides important new insights into the impact of the nationwide abolition of user fees, as well as the impact of the policy change on the work of the professional nurse. Equally, the findings highlighted the potential benefits, gaps, and failures of the abolition of user fees‘ policy, and will serve as a catalyst to improve the policy process regarding access to health services and the work of the professional nurse. The findings of this research will be valuable in the planning of health-related programmes for the consumers of health care in developing countries. Despite the need for further research in this area, this research has contributed to the body of knowledge regarding user fees and access to health care in developing countries.</p>

scholarly journals ІНСТИТУЦІЙНЕ ЗАБЕЗПЕЧЕННЯ РЕАЛІЗАЦІЇ ДЕРЖАВНО-ПРИВАТНОГО ПАРТНЕРСТВА У СФЕРІ ОХОРОНИ ЗДОРОВ’Я

2019 ◽  
Vol 82 (1) ◽  
pp. 161-168
Author(s):  
TURCHAK D.,
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Economic Effect ◽  
Institutional Support ◽  
Public Private Partnership ◽  
Entrepreneurial Activity ◽  
Healthcare Sector ◽  
Private Partnership ◽  
The Public ◽  
Stimulation Of

У статті з’ясовані особливості інституційного забезпеченняреалізації державно-приватного партнерства у сфері охорони здоров’я.Наведена структура діючих суб’єктів державно-приватногопартнерства у сфері охорони здоров’я. Доведено, що співпраця владнихструктур, бізнесу та суспільного сектора при реалізації механізмів ДППстане підґрунтям для розвитку інноваційних форм проектногоменеджменту, стимулюванню підприємницької діяльності, а такожсприятиме вирішенню медико-соціальних проблем в країні. Крім того,застосування моделей ДПП у сфері охорони здоров’я матимеекономічний ефект для суспільства у вигляді більш якісніших медичнихпослуг при зменшенні бюджетного навантаження. The article clarifies the peculiarities of institutional support for theimplementation of public-private partnership in the field of health care. The structure of the acting public-private partnership in the sphere of healthprotection is presented. It has been proved that cooperation between powerstructures, business and the public sector in the implementation of PPPmechanisms will be the basis for the development of innovative forms ofproject management, stimulation of entrepreneurial activity, and willcontribute to solving medical and social problems in the country. In addition,the use of PPP models in the healthcare sector will have an economic effect forthe society in the form of better quality medical services while reducing thebudgetary burden.

scholarly journals FEATURES OF PUBLIC-PRIVATE PARTNERSHIP AS A MECHANISM FOR IMPLEMENTING A NEW REGIONAL POLICY FOR THE FUNCTIONING AND DEVELOPMENT OF THE ROAD SECTOR

2020 ◽  
pp. 73-82
Author(s):  
Inna Oleksandrivna Khomenko ◽  
◽  
Lyudmila Nikolaevna Volynets ◽  
Halyna Olehivna Lysenko ◽  
◽  
...  
Keyword(s):  
Legal Framework ◽  
Public Private Partnership ◽  
Private Partnership ◽  
The Public ◽  
The Road ◽  
Road Management ◽  
Global Pandemic ◽  
Effective Activity ◽  
Main Activity ◽  
The Impact

This article reveals the basic concepts, principles, significance of public-private partnership (PPP), its significance, main provisions and importance for the functioning and development of the road sector in Ukraine. The main advantages of the functioning of the public-private partnership system are also given, the legal framework and the main principles for effective activity are analyzed. Examples of successful global public-private partnership projects in the field of road management, which are the basis for determining the amount of tolls on public roads for vehicles, are outlined. The agreements concluded by administrative institutions on the basis of public-private partnership are described.The main activity of the state road fund, sources of its financing and distribution of funds are investigated. The main debt obligations of the road industry and their further impact on the development of public-private partnership in Ukraine have been identified. The main problems, the reasons for the inefficiency of public-private partnership in thefield of road management are clarified and effective ways of development and solution of complex issues are suggested. The analysis of the main factors influencing the development of public-private partnership of Ukraine is carried out and the ways of elimination of negative factors are given. The principles of operation and essence of the first six pilot transport projects of Ukraine and further increase of their number, which were developed taking into account world standards on the basis of requirementsof both parties, are considered. The impact of the global pandemic on the traffic of different countries is revealed. There are examples of companies that were able to resume their activities and increase the economic rating during the easing of quarantine restrictions. The main ways to improve the functioning of the road industry of Ukraine are proposed.

scholarly journals Public-Private Partnership in Providing and Promoting Health Services; A critical review

2020 ◽  
Author(s):  
Hiwa Mirzaii ◽  
Shoresh Barkhordari ◽  
Nasrin Shaarbafchizadeh ◽  
Reza Rezayatmand ◽  
Faezeh Akbari
Keyword(s):  
Health Services ◽  
Health Systems ◽  
Critical Review ◽  
Public Private Partnership ◽  
Public Private Partnerships ◽  
Health Improvement ◽  
Private Partnership ◽  
The Public ◽  
Care Services ◽  
The Government

Objective: Public-private partnerships can provide the health systems with the required resources to prevent disease, render effective care services, and promote individual and community health. The purpose of this study was to review application of the public-private partnership model in the delivery and promotion of health services to investigate the scope of this model and its success in health systems. Information sources and selection methods for the study: This critical review was conducted by conducting a search in the databases of ISI, Scopus, PubMed, Science Direct, ‌SID, and Magiran using a combination of the following keywords:  public-private partnership, health promotion, health delivery, health improvement, health service, health care services, and providing health services. No time limit was considered in the research process.  A total of 238 articles were extracted and reviewed. Results: Finally, 12 eligible articles were studied, which resulted in 4 main themes: public-private partnerships and prevention, public-private partnerships and infectious-communicable diseases, public-private partnerships and chronic diseases, and public- private partnerships and clinical health services design and information. Conclusion: The public-private partnerships were successful if supported and organized by the government. In most studied articles, the extent of private sector participation and its benefits were not clear. So, clarification of the interactions between these two sectors will increase the confidence of policymakers in public-private partnerships.  

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